INVIGILATOR FORM Irregularity Report Examination Details

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UNIVERSITY OF MALTA
University of Malta – Invigilator Form
Irregularity Report
INVIGILATOR FORM
 There were no irregularities
Examination Details
 The following irregularity is reported
Report:
Session of Examinations:
Jan/Feb 
May/June 
Sept 
Date of Examination:
__________________________________________________
Year: _________
Name of Student
__________________________________________________
Examination Venue:
__________________________________________________
ID No.
__________________________________________________
F/I/C/S:
__________________________________________________
Time when irregularity was noticed __________________________________________________
Study-Unit Code/s:
__________________________________________________
In the report please explain clearly the following:
Study-Unit Title/s:
__________________________________________________
Nature of irregularity e.g. notes on a ruler etc.
Total number of students present for the Examination:
________________________________
Action taken by the invigilator/s
Declaration
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
We, the undersigned, declare that we have read the following announcement before the
commencement of the examinations:
“YOU HAVE 5 MINUTES TO READ THE PAPER. DURING THIS TIME YOU MAY NOT WRITE OR
MAKE ANY NOTES.”
When the reading time is up, please read the following:
“THE READING TIME IS OVER. YOU MAY NOW START WRITING. YOU HAVE ________ HOURS TO
COMPLETE THE PAPER. YOU ARE REMINDED OF THE SERIOUS CONSEQUENCES THAT MAY ARISE
IF THE UNIVERSITY ASSESSMENT REGULATIONS ARE NOT STRICTLY ADHERED TO.”
________________________________________________________________________________
We also declare that _______ answer books plus _______ extra answer books were used in our
presence by the students and that the ‘Instructions to Invigilators’, which were given to us before
the Examination, were strictly observed.
________________________________________________________________________________
Time of Duty: from ____________ to ___________.
Note: Only the Invigilators who saw the irregularity should sign the report
Name of Invigilator/s (in block letters):
Signature:
Name of Invigilator: ____________________
Signature: _______________________
___________________________________
______________________________________
Name of Invigilator: ____________________
Signature: _______________________
___________________________________
______________________________________
___________________________________
______________________________________
___________________________________
______________________________________
___________________________________
______________________________________
___________________________________
______________________________________
________________________________________________________________________________
Date:
____________________
Page 4.
Page 1
University of Malta – Invigilator Form
University of Malta – Invigilator Form
List of Absent Students
Record of Scripts
Total number of students absent for the Examination: ____________________________
Name
ID no.
Remarks
Received: ____________ x 8 pages scripts
Returned: ____________ x 8 pages scripts
Received: ____________ x 12 pages scripts
Returned: ____________ x 12 pages scripts
Received: ____________ x 16 pages scripts
Returned: ____________ x 16 pages scripts
Received: ____________ x Exam Booklets
Returned: ____________ x Exam Booklets
Received: ____________ x Answer Sheets
Returned: ____________ x Answer Sheets
Record of Extra Scripts
Name
ID no.
No. of
Scripts
Issued
Name
ID no.
No. of
Scripts
Issued
(to be completed half an hour after the start of the examination)
Temporary Absence Sheet
Name
ID no.
Time Left
Time Returned
Student’s
Signature
Total of Extra Scripts Issued: ____________________
Page 2.
Page 3.
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